verified solutions
1. What responses does the nurse expect as a the past 24
result of infusing 500 mL liter of a 3% saline hours. In
intravenous solution into a client over a 1- which area
hour time period? does the
nurse
A. Plasma volume osmolarity increases; blood assess skin
pres- sure increases turgor for
accurate
B. Plasma volume osmolarity decreases; blood determina
pres- sure increases on of
dependent
C. Plasma volume osmolarity increases; blood edema?
pres- sure decreases
D. Plasma volume osmolarity decreases; blood
pres- sure decreases
2. Which clinical indicators are most relevant
for the nurse to monitor during IV fluid
replacement for a client with dehydration?
Select all that apply.
A. Blood pressure
B. Deep tendon reflexes
C. Hand-grip strength
D. Pulse rate and quality
E. Skin turgor
F.Urine output
3. The client who is confined to bed in the
recumbent position has gained 5 lb (2.3 kg) in
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,NURS 221 FINAL EXAM Iggy & D2L questions with
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Answer: A
Answer: A, D, F
Answer: C
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,NURS 221 FINAL EXAM Iggy & D2L questions with
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A. Foot and ankle
B. Forehead
C. Sacrum
D. Chest
4. With which client does the nurse remain alert for and
Answer: D assess most frequently for signs and
symptoms of hypokalemia to prevent harm?
A. 72-year-old taking the diuretic
spironolactone for control of hypertension
B. 62-year-old receiving an IV solution of
Ringer's lac- tate at a rate of 200 mL/hr
C. 42-year-old trauma victim receiving a third
infusion of packed red blood cells in 12 hours
D. 22-year-old receiving an IV infusion of
regular in- sulin to manage an episode of
ketoacidosis
5. In reviewing the electrolytes of a client, the 6. A client
nurse notes the serum potassium level has with sever
increased from diarrhea
4.6 mEq/L (mmol/L) to 6.1 mEq/L (mmol/L). reports
Which assessment does the nurse perform tingling lip
first to prevent harm? and foot
cramps.
A. Deep tendon reflexes What is th
B. Oxygen saturation nurse's
C. Pulse rate and rhythm best first
D. Respiratory rate and depth action to
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,NURS 221 FINAL EXAM Iggy & D2L questions with
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prevent harm? Answer: C
Answer: C
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